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CITY OF SANTA ANA <br />PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST <br />• PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST <br />PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV <br />PROPOSAL AND CONTRACT AGREEMENT <br />PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE <br />In conformance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of <br />perjury, the following questionnaire: <br />Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in the <br />bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, <br />state, or local government project because of a violation of law or a safety regulation? <br />Yes No / <br />If the answer is yes, explain the circumstances in the following space. <br />• <br />C, <br />TO BE INCLUDED IN BID PACKAGE <br />BP 31 of 32 <br />